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Medical Emergencies Unit 9: Endocrine Emergencies Flashcards | StudBud
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Medical Emergencies Unit 9: Endocrine Emergencies
Medical Emergencies Unit 9: Endocrine Emergencies
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1
What diabetic emergency has sudden onset, coma, syncope, cold clammy skin, dialated pupils, and fast irregular pulse
hyperglycemia
hypoglycemia
DKA
insulin reaction
2
The heredity autoimmune disorder whereby the individual has an increased level of thyroid hormoe production is known as
myxedema coma
hashimotos disease
graves disease
euthyroid
3
Which diabetic emergency is has tachypnea, Kussmals breathing, nausea, blurred vision, fruity odor on breath?
hyperosmolar hyperglycemic nonketotic syndrome
diabetic ketoacidosis
gestational diabetes
hypoglycemia
4
What thyroid condition has weight gain, cold intolerance, dry skin, mental and physical slowing, and constipation
hypothyroidism
hyperthyroidism
5
A result of 115 mg/dL on a fasting plasma glucose test would indicate
prediabetes
hypoglycemia
type 2 diabetes
type 1 diabetes
6
What causes the gangrene that is often associated with diabetic patients?
diabetic retinopathy
none of the above
microangiopathic changes
diabetic nephropathy
7
All of the following are causes of primary adrenal insufficiency except one. Which one is the exception?
tuberculosis
aids
diabetes
autoimmune disease
8
diabetic emergency that has kussmal respiration, coma, dry mouth, thirst, blurred vision, fruity odor, weak rapid pulse
hypoglycemia
diabetic coma
DKA
hyperglycemia
9
What treatment is needed for diabetic ketoacidosis emergency?
administer oral glucose
reduction in the amount of insulin the patient is using
immediate surgery to repair the patient's defective pancreas
administer insulin
10
All of the following are medications often prescribed for type 2 diabetes except one. what one is the exception?
gylburide (diabeta)
tolbutamide (orinase)
glucagon (Glucagon)
metformin (Glucophage)
11
What is the diabetic emergency that is often seen in institutionalized indiziduals?
diabetic ketoacidiosis
gestational diabetes
diabetic nephropathy
hyperosmolar hyperglycemic state
12
Which type of diabetes is unable to produce sufficient amount of insulin or to properly use the insulin that is produced
1
gestational
pre
2
13
Which of the following is a sign of thyroid storm?
bradycardia
hypoventilation
fever
macroglossia
14
Which type of diabetes is characterized by glucose intolerance with initial onset during pregnancy?
1
pre
gestational
2
15
All of the following are symptoms of hypoglycemia in a diabetic patient except one. Which one is the exception?
profuse sweating
cyanosis
aggressive behavior
confusion
16
The test used to measure a diabetics average glucose level over the past three months is
none of the above
fasting plasma glucose test
oral glucose tolerance test
HbA1c test
17
All of the following are oral complications associated with diabetes except one. Which one is the exception?
periodontal disease
candidasis
squamous cell carcinoma
xerostomia
18
Which type of diabetes disappears after pregnancy but can return years later?
pre
2
1
gestational
19
The most common medication a patient would take for hypothyroidism is
beta-blocker such as Vasotec
acetaminophen
levothyroxine
none of the above
20
The emergent condition arising from severe hypothyroidism is
myxedema coma
thyrotoxicosis
thyroid storm
diabetic ketoacidosis
21
Type 2 diabetes is managed by diet, oral medication, and injectable medications
False
True
22
The most accepted method for treating hyperthyroidism is
antithyroid medication
beta-blocker
ablation therapy
surgery
23
What thyroid disease has weight loss, nervousness, insomnia, exophthalmos, tremors, increased sweating, rapid heart rate
hypothyroidism
Hyperthyroidism
24
aathe dental office is very stressful for a patient taking corticosteroids. the likelihood of adrenal crisis is increase
both sentences are false
both sentences are true
the first sentence is true and the second is false
the first sentence is false and the second is true
25
Treatment modification for the dentalphobic patient with history of lupus erythematosus who takes corticosteroids daily
have the patient double his dosage of corticosteroid an hour before
no modifications are necessary
contact his physician for appropriate treatment modification
none of the above
26
All of the following are strategies for managing thyroid storm except one. Which one is the exception?
administering beta-blockers
wrapping blankets to increase body temperature
administering acetaminophen
administering oxygen 4-6L/minute
27
Which of the following is a sign of adrenal crisis?
dry skin
chest pain
hypotension
bradycardia
28
A patient suffering from adrenal crisis is in need of
none of the above
glucocorticoids
glucose
thyroxine
29
Hypothyroidism is characterized by
weight loss
cold intolerance
low cholesterol
diarrhea
30
Which is the most important vital sign to monitor in a patient suspected of adrenal crisis?
blood pressure
respiration
temperature
pulse
31
Which type of diabetes have absolute lack of circulating insulin and is dependent on supplemental insulin?
type 2
prediabetes
type 1
gestational
32
Which thyroid emergency is characterized by deterioration of patients mental state and hypothermia
thyroid storm
myxedema coma
33
If gestational diabetes is left untreated it can cause significant ____ disturbances to the fetus?
imbalances
developmental
34
An absolute lack of circulating insulin is characteristic of which condition?
none of the above
type 1 diabetes
hypoglycemia
type 2 diabetes
35
What is the most common medication prescribed for patients with adrenal insufficiency
thyroxine
epinephrine
hydrocortisone
cephalexin
36
All of the following are treatment management strategies for myxedema coma except
Administering sedatives and tranquilizers
slowly rewarming the patient
administering IV corticosteroids
administering IV levothyroxine
37
All of the following are likely to trigger an adrenal crisis in patients who suffer from adreanl insufficiency except?
weight loss
infection
stress
flu
38
Which thyroid emergency has fever, GI symptoms, tachycardia, increase systolic blood pressure, widened pulse pressure
myexdema coma
thyroid storm